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1871279448
JOHN RODDENBERRY
METAIRIE, LA
NPI
1871279448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA 337238)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
JOHN RODDENBERRY DPM
4200 HOUMA BLVD
METAIRIE, LA 70006-2970
Phone number: 941-779-6299
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Mailing Address
JOHN RODDENBERRY DPM
124 LABARRE DR APT B
METAIRIE, LA 70001-5433
Phone number:
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